Healthcare Provider Details

I. General information

NPI: 1003901166
Provider Name (Legal Business Name): GYNECOLOGY AND OBSTETRICS ASSOCIATION OF MANHATTAN, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 EAST 88TH STREET
NEW YORK NY
10128
US

IV. Provider business mailing address

47 EAST 88TH STREET
NEW YORK NY
10128
US

V. Phone/Fax

Practice location:
  • Phone: 212-534-0200
  • Fax: 212-534-2648
Mailing address:
  • Phone: 212-534-0200
  • Fax: 212-534-2648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number188612
License Number StateNY

VIII. Authorized Official

Name: JULIE ANN BEYERS
Title or Position: PHYSICIAN, PARTNER
Credential: MD
Phone: 212-534-0200